Active NPI
Lorraine F Kreider, M.D.
- Internal Medicine Physician
- Bedford, TX
National Provider Identifier
1194700344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- H3787
- Practice address
- 1604 Hospital Pkwy Ste 100
Bedford, TX 76022-5913 - Phone
- (817) 848-2880
- Fax
- (817) 848-2890
- NPI assigned
- Dec 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | H3787 | TX | Primary |
Addresses
Primary practice location
1604 Hospital Pkwy Ste 100
Bedford, TX 76022-5913
Mailing address
1604 Hospital Pkwy Ste 100
Bedford, TX 76022-5913
Phone (817) 848-2880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133715608 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312848000000",
"number": "1194700344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 HOSPITAL PKWY STE 100",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760225913",
"telephone_number": "817-848-2880",
"fax_number": "817-848-2890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 HOSPITAL PKWY STE 100",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760225913",
"telephone_number": "817-848-2880",
"fax_number": "817-848-2890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREIDER",
"first_name": "LORRAINE",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-09",
"last_updated": "2011-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "H3787",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133715608",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.